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Drug Resistance in Epilepsy: Clinical Impact, Potential Mechanisms, and New Innovative Treatment Options.癫痫耐药性:临床影响、潜在机制和新的创新治疗选择。
Pharmacol Rev. 2020 Jul;72(3):606-638. doi: 10.1124/pr.120.019539.
2
Pharmacoresponse in genetic generalized epilepsy: a genome-wide association study.遗传全面性癫痫的药物反应:全基因组关联研究。
Pharmacogenomics. 2020 Apr;21(5):325-335. doi: 10.2217/pgs-2019-0179. Epub 2020 Apr 20.
3
Genetic polymorphisms of CYP3A5, CHRM2, and ZNF498 and their association with epilepsy susceptibility: a pharmacogenetic and case-control study.细胞色素P450 3A5(CYP3A5)、毒蕈碱型乙酰胆碱受体M2(CHRM2)和锌指蛋白498(ZNF498)的基因多态性及其与癫痫易感性的关联:一项药物遗传学病例对照研究。
Pharmgenomics Pers Med. 2019 Sep 4;12:225-233. doi: 10.2147/PGPM.S212433. eCollection 2019.
4
Effects of MTHFR and ABCC2 gene polymorphisms on antiepileptic drug responsiveness in Jordanian epileptic patients.MTHFR和ABCC2基因多态性对约旦癫痫患者抗癫痫药物反应性的影响。
Pharmgenomics Pers Med. 2019 Jun 10;12:87-95. doi: 10.2147/PGPM.S211490. eCollection 2019.
5
Effects of GRM4, SCN2A and SCN3B polymorphisms on antiepileptic drugs responsiveness and epilepsy susceptibility.GRM4、SCN2A和SCN3B基因多态性对抗癫痫药物反应性及癫痫易感性的影响。
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6
Altered inhibitory synapses in de novo GABRA5 and GABRA1 mutations associated with early onset epileptic encephalopathies.与早发性癫痫性脑病相关的新出现的 GABRA5 和 GABRA1 突变中的抑制性突触改变。
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8
The Impact of Potassium Channel Gene Polymorphisms on Antiepileptic Drug Responsiveness in Arab Patients with Epilepsy.钾通道基因多态性对阿拉伯癫痫患者抗癫痫药物反应性的影响
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Seizure. 2018 Aug;60:39-43. doi: 10.1016/j.seizure.2018.06.004. Epub 2018 Jun 6.
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A low-grade astrocytoma in a sixteen-year-old boy with a 7q11.22 deletion.一名16岁男孩患有7q11.22缺失的低级别星形细胞瘤。
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约旦患者中癫痫与抗癫痫药物治疗的基因关联

Genetic Association of Epilepsy and Anti-Epileptic Drugs Treatment in Jordanian Patients.

作者信息

Al-Eitan Laith N, Al-Dalala Islam M, Elshammari Afrah K, Khreisat Wael H, Nimiri Aseel F, Alnaamneh Adan H, Aljamal Hanan A, Alghamdi Mansour A

机构信息

Department of Applied Biological Sciences, Jordan University of Science and Technology, Irbid, Jordan.

Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Pharmgenomics Pers Med. 2020 Oct 16;13:503-510. doi: 10.2147/PGPM.S273125. eCollection 2020.

DOI:10.2147/PGPM.S273125
PMID:33116764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7584512/
Abstract

PURPOSE

The aim of this study was to investigate the possible effects of single-nucleotide polymorphisms (SNPs) within SLC1A1, SLC6A1, FAM131B, GPLD1, F2, GABRG2, GABRA1, and CACNG5 genes on response to anti-epileptic drugs (AEDs) and the genetic predisposition of epilepsy in Jordanian patients.

PATIENTS AND METHODS

A total of 299 healthy individuals and 296 pediatric patients from the Jordanian population were recruited. Blood samples are collected, and genotyping was performed using a custom platform array analysis.

RESULTS

The SLC1A1 rs10815018 and FAM131B rs4236482 polymorphisms found to be associated with epilepsy susceptibility. Moreover, SLC1A1 rs10815018 and GPLD1 rs1126617 polymorphisms were associated with generalized epilepsy (GE), while FAM131B rs4236482 is associated with the focal phenotype. Regarding the therapeutic response, the genetic polymorphisms of FAM131B rs4236482, GABRA1 rs2279020, and CACNG5 rs740805 are conferred poor response (resistance) to AEDs. There was no linkage of GLPD1 haplotypes to epilepsy, its subtypes, and treatment responsiveness.

CONCLUSION

Our findings suggested that SLC1A1, FAM131B, and GPLD1 polymorphisms increasing the risk of generating epilepsy, while FAM131B, GABRA1, and CACNG5 variants may play a role in predicting drug response in patients with epilepsy (PWE).

摘要

目的

本研究旨在调查溶质载体家族1成员1(SLC1A1)、溶质载体家族6成员1(SLC6A1)、家族性131B成员(FAM131B)、糖基磷脂酰肌醇特异性磷脂酶D1(GPLD1)、凝血因子Ⅱ(F2)、γ-氨基丁酸A型受体γ2亚基(GABRG2)、γ-氨基丁酸A型受体α1亚基(GABRA1)和电压门控性钙通道辅助亚基5(CACNG5)基因内的单核苷酸多态性(SNP)对约旦患者抗癫痫药物(AED)反应及癫痫遗传易感性的可能影响。

患者与方法

招募了来自约旦人群的299名健康个体和296名儿科患者。采集血样,并使用定制平台阵列分析进行基因分型。

结果

发现SLC1A1基因的rs10815018和FAM131B基因的rs4236482多态性与癫痫易感性相关。此外,SLC1A1基因的rs10815018和GPLD1基因的rs1126617多态性与全身性癫痫(GE)相关,而FAM131B基因的rs4236482与局灶性表型相关。关于治疗反应,FAM131B基因的rs4236482、GABRA1基因的rs2279020和CACNG5基因的rs740805的基因多态性导致对AEDs反应不佳(耐药)。GLPD1单倍型与癫痫、其亚型及治疗反应性无关联。

结论

我们的研究结果表明,SLC1A1、FAM131B和GPLD1基因多态性增加了患癫痫的风险,而FAM131B、GABRA1和CACNG5基因变异可能在预测癫痫患者(PWE)的药物反应中起作用。